DANNIE NAINGGOLAN

RIVERSIDE, CA
NPI1174388375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
Enumeration Date2024-02-16
Last Update Date2025-07-30
Business Address
DANNIE NAINGGOLAN
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2514
Mailing Address
DANNIE NAINGGOLAN
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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